Effects of intensive trauma-focused treatment of individuals with both post-traumatic stress disorder and borderline personality disorder

Background: Research indicates that intensive trauma-focused therapy can be effective in alleviating symptoms of post-traumatic stress disorder (PTSD) and borderline personality disorder (BPD). However, these studies have relied on self-report of BPD symptoms and follow-up data are scarce. Objective...

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Bibliographic Details
Published in:European journal of psychotraumatology 2022-12, Vol.13 (2), p.2143076
Main Authors: Kolthof, K. A., Voorendonk, E. M., Van Minnen, A., De Jongh, A.
Format: Article
Language:English
Subjects:
Basic
Borderline personality disorder
Dentistry
diagnostic status
estado de diagnóstico
Feasibility studies
Health sciences
intensive trauma-focused treatment
Mental disorders
Personality disorders
Post traumatic stress disorder
Psychotherapy
resultado del tratamiento
Trastorno de estrés postraumático
trastorno límite de la personalidad
tratamiento intensivo centrado en el trauma
treatment outcome
创伤后应激障碍
治疗结果
聚焦创伤的强化治疗
诊断状态
边缘性人格障碍
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Summary:Background: Research indicates that intensive trauma-focused therapy can be effective in alleviating symptoms of post-traumatic stress disorder (PTSD) and borderline personality disorder (BPD). However, these studies have relied on self-report of BPD symptoms and follow-up data are scarce. Objective: The purpose of this feasibility study was to determine the effects of an intensive trauma-focused treatment programme on the severity of PTSD and BPD symptoms and the diagnostic status up to a 12-month follow-up. Methods: A total of 45 (60% female) individuals meeting the diagnostic criteria of both PTSD and BPD participated in an intensive eight-day trauma-focused treatment programme which combined prolonged exposure and EMDR therapy in an inpatient treatment setting. Severity of PTSD and BPD symptoms were assessed at pre-treatment, post-treatment, 6 months, and 12 months after treatment (CAPS-5, BPDSI-IV). Diagnostic status was determined using clinical interviews (CAPS-5 and SCID-5-P) at pre-treatment and 12-month follow-up. Results: Of all participants, 93.3% had been exposed to physical abuse, and 71.1% to sexual abuse prior to the age of 12 years. PTSD and BPD symptom severity significantly decreased from pre- to post-treatment (Cohen's ds: 1.58 and 0.98, respectively), and these results were maintained at 6- (ds: 1.20 and 1.01) and 12-month follow-up (ds: 1.53 and 1.36). Based upon CAPS-5, 69.2% no longer met the diagnostic criteria of PTSD at 12-month follow-up, while according to the SCID-5-P 73.1% no longer fulfilled the diagnostic criteria of BPD at that time. No significant worsening of symptoms occurred. Conclusion: The findings of this study, which is the first to examine the effects of psychotherapeutic treatment of PTSD on the presence of a borderline personality disorder one year after treatment, add support to the notion that a brief intensive trauma-focused treatment can be a valuable option for individuals suffering from both PTSD and BPD. Investigated the effects of trauma-focused treatment on BPD. First study that evaluated the status of BPD diagnosis one year after treatment. Trauma-focused treatment proved to be a feasible and safe treatment for patients diagnosed with both PTSD and BPD.
ISSN:2000-8066
2000-8066
DOI:10.1080/20008066.2022.2143076